KEVIN P BECKER (Credential# 974253) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEVIN P BECKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049407. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 37 Quail Run, Madison, CT 06443-1946. The current status is active.
| Licensee Name | KEVIN P BECKER |
| Credential ID | 974253 |
| Credential Number | 1.049407 |
| Credential Type | Physician/Surgeon |
| Business Address |
37 Quail Run Madison CT 06443-1946 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-12-21 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 414360 | CSP.0038075 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 37 QUAIL RUN |
| City | MADISON |
| State | CT |
| Zip Code | 06443-1946 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paige J Brennan | 55 Quail Run, Madison, CT 06443-1946 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sierra Autumn Moon Tucker | 49 Quail Run, Madison, CT 06443-1946 | Hairdresser/cosmetician | 2019-12-01 ~ 2021-11-30 |
| Mary Jo Ross | 69 Quail Run, Madison, CT 06443-1946 | Marital and Family Therapist | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Becker | 3 Westview Rd, Brookline, NH 03033-4421 | Physician/surgeon | ~ |
| Nils Becker | 2 Middle St, Lexington, MA 02421-7702 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Herb C Becker | 419 S Bruner St, Hinsdale, IL 60521-3941 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Stephen M Becker Md | 23 Wildwood Rd Apt 201, Groton, CT 06340 | Physician/surgeon | 2005-12-19 ~ 2007-01-31 |
| Bernard F Oddi | 10 Becker Street, Wilbarham, MA 01095 | Physician/surgeon | 1980-05-21 ~ 1983-04-30 |
| George E Becker Jr | 513 Liberty Street, San Francisco, CA 94114 | Physician/surgeon | 1997-07-28 ~ 1998-07-31 |
| Aida Becker | 117 Tumble Brook Dr, Vernon, CT 06066-5014 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Theresa M Becker | 11408 Somerville Dr, Temple, TX 76502 | Physician/surgeon | 1998-09-11 ~ 1999-08-31 |
| Carolyn B Becker | 35 Haris Road, Brewster, NY 10509 | Physician/surgeon | 1996-02-16 ~ 1996-12-31 |
| William C Becker Md | 329 Greene St. Unit 3, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KEVIN P BECKER.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).